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Individual

JOHN EDWIN DOBBINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PAC

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
100576
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5291139
AETNA
01
6635
PARTNERS
01
A2439
MEDCOST
Enumeration date
12/08/2005
Last updated
08/20/2010
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